Active NPI
Ronald C Hazen, M.D.
- Family Medicine Physician
- Saginaw, MI
National Provider Identifier
1063437432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301033940
- Practice address
- 1000 Houghton Ave
Saginaw, MI 48602-5303 - Phone
- (989) 583-6812
- Fax
- (989) 583-6915
- NPI assigned
- Jul 13, 2006
- Last updated
- Feb 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301033940 | MI | Primary |
Addresses
Primary practice location
1000 Houghton Ave
Saginaw, MI 48602-5303
Mailing address
1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6812
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1H36028 | Other | MI | HEALTHPLUS |
| 381870664 | Other | MI | HEALTH CARE ALLIANCE POOL |
| 381870664 | Other | MI | COMMERCIAL |
| 381870664 | Other | MI | PRIMARY CARE PARTNERS |
| 1063437432 | Medicaid | MI | |
| RH033940 | Other | MI | LICENSE |
| 381870664129 | Other | MI | COMMUNITY CHOICE MICHIGAN |
| 7356092 | Other | MI | BCBSM |
| 1005638 | Other | MI | MCLAREN |
| 124945 | Other | MI | GREAT LAKES HEALTH PLAN |
| 381870664 | Other | MI | PPOM |
| 160G360190 | Other | MI | BCBSM |
| 381870664 | Other | MI | PRIVATE HEALTHCARE SYSTEM |
| 381870664 | Other | MI | PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Bay Health Centers | Past | Accepting new patients | |
| Great Lakes Bay Health Centers | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Great Lakes Bay Health Centers Integrated Care Midland
- Federally Qualified Health Center (FQHC)
- Midland, MI
- NPI 1609609536
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1871684761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1063437432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HOUGHTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025303",
"telephone_number": "989-583-6812",
"fax_number": "989-583-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HOUGHTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025303",
"telephone_number": "989-583-6812",
"fax_number": "989-583-6915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEN",
"first_name": "RONALD",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301033940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "1H36028",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE ALLIANCE POOL",
"identifier": "381870664",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "381870664",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY CARE PARTNERS",
"identifier": "381870664",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063437432",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RH033940",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE MICHIGAN",
"identifier": "381870664129",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "7356092",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN",
"identifier": "1005638",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "124945",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "381870664",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "160G360190",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "381870664",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "381870664",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.